超声对剖宫产瘢痕妊娠临床应用价值.docVIP

超声对剖宫产瘢痕妊娠临床应用价值【摘要】 目的 探讨超声对剖宫产术后子宫瘢痕妊娠的诊断治疗方面的临床应用。方法 回顾性分析24例诊断为子宫瘢痕妊娠患者的声像图表现及临床资料。结果 24例瘢痕妊娠病例根据妊娠物与瘢痕的位置关系分为三型:癜痕处肌层内型(5例)、瘢痕处宫腔内型(13例)及混合型(6例),根据分型及瘢痕处滋养血流分布状况选择治疗方案并超声随访。 结论 超声通过观测妊娠物与瘢痕的位置关系及瘢痕处滋养血流分布状况对于瘢痕妊娠的诊断、指导治疗等方面具有重要作用。? 【关键词】 超声;瘢痕妊娠; 滋养血流?? Value of ultrasonography in the Clinical application of caesarean scar pregnancy LIU Yu-qing,LU Qiong-jie,JIA Bao-xia. Department of Ultrasonography, Longgang Central Hospital of Shenzhen, Shenzhen 518116, China 【Abstract】 Objective To explore the value of sonography in the clinical application of caesarean scar pregnancy.Methods The ultrasound imaging of twenty-four patients with caesarean scar pregnancy and their clinical treatments were retrospectively analyzed. Results Twenty-four patients were classified into three types according to the location of pregnancy matter relation with the caesarean scar:the first type included 5 patients with pregnancy matter implanted in the caesarean scar,the second type included 13 patients in which the pregnancy matter located in uterine cavity close to the caesarean scar,and the third type included 6 patients with pregnancy matter located partly in the caesarean scar and partly in the uterine cavity.Select treatment options depending on the types and distribution of nourish bloodbesides the pregnancy matter. Conclusion Sonography is valuable for the diagnosis and treatment of caesarean scar pregnancy by observing the location of pregnancy matter relation with the caesarean scar and distribution of nourish bloodbesides the pregnancy matter.? 【Key words】 Uhrasonography;Caesarean scar p regnancy;Nourish blood ? DOI:10.3760/cma.j.issn 1673-8799.2010.11.24? 作者单位:518116广东省深圳市龙岗中心医院超声科 随着剖宫产率的增加,剖宫产术后子宫瘢痕妊娠 (Caesarean scar p regnancy,CSP)发生率倾向于增加,盲目清宫和不恰当的治疗可导致子宫破裂、子宫切除。现探讨超声监测在瘢痕妊娠诊断治疗中的作用。? 1 对象与方法? 1.1 研究对象 2006年 1月至2010年 5月我院住院的 24例CSP患者, 年龄25～38岁,平均32岁,孕 2～3次,停经时间 40～96 d;均有既往剖宫产史。临床表现有阴道流血者9例,下腹不适者11例,无明显症状者6例。? 1.2 仪器及方法 采用HDL-5000和IU22彩色